Active NPI
Benjamin Andrew, M.D.
- Surgery Physician
- Summit, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 66692-20
- Practice address
- 36500 Aurora Dr
Summit, WI 53066-4899 - Phone
- (262) 434-1000
- NPI assigned
- Apr 8, 2015
- Last updated
- Nov 6, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 66692-20 | WI | Primary |
Addresses
Primary practice location
36500 Aurora Dr
Summit, WI 53066-4899
Mailing address
PO Box 735044
Chicago, IL 60673-5044
Phone (800) 326-2250
Other practice location 1
1860 Shawano Ave
Green Bay, WI 54303-2667
Phone (920) 496-4700
Other practice location 2
707 14th St
Baraboo, WI 53913-1539
Phone (608) 356-1400
Electronic endpoints 5
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bandrew371392@ewd.direct.hshs.org | Direct | |
| Direct Messaging Address | bandrew291784@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | bandrew365845@direct.myadvocateaurora.org | Direct | |
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Chicago College of Medicine and Surgery, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
36500 Aurora Dr
Summit, WI 53066-4899
Phone (262) 434-5000
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66692-20 | WI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gundersen Lutheran Express Care, Inc | Current | Accepting new patients | |
| Dean Health Systems, Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Dean Health Systems, Inc. | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc | Current | Accepting new patients | |
| Gundersen Clinic LTD | Current | Accepting new patients | |
| Moundview Memorial Hospital & Clinics, Inc. | Current | Accepting new patients | |
| Gundersen Lutheran Medical Center, Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Past | Accepting new patients |
Locations
1818 N Meade St
Ste 240W
Appleton, WI 54911
707 14th St
Baraboo, WI 53913
Phone (608) 356-1400
402 W Lake St
Friendship, WI 53934
Phone (608) 339-3331
835 S Van Buren St
Green Bay, WI 54301
Phone (888) 901-7246
1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102
1836 South Ave
#301
La Crosse, WI 54601
1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287
600 Highland Ave
Madison, WI 53792
Phone (608) 263-0325
1020 N 12th St
Milwaukee, WI 53233
Phone (414) 219-3056
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
855 S Main St
Ste 1
Oconto Falls, WI 54154
Phone (920) 846-8187
3111 Gundersen Dr
Onalaska, WI 54650
Phone (608) 775-8100
36500 Aurora Dr
Summit, WI 53066
Phone (262) 434-1000
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
505 Gopher Dr
Tomah, WI 54660
Phone (608) 372-2181
Interoperability endpoints
- bandrew291784@direct-ehr-ssmhc.com
- bandrew304938@direct.gundersenhealth.org
- bandrew365845@direct.myadvocateaurora.org
- bandrew371392@ewd.direct.hshs.org
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1427271378
-
dba SSM Health Dean Medical Group
- Allergy & Immunology Physician
- Madison, WI
- NPI 1053358846
-
- Clinic/Center
- La Crosse, WI
- NPI 1851343115
-
dba Emplify Health Hamilton Clinic
- Clinic/Center
- La Crosse, WI
- NPI 1225873458
-
dba Gundersen Moundview Hospital and Clinics, Inc.
- Critical Access Hospital
- Friendship, WI
- NPI 1710939533
-
- Durable Medical Equipment & Medical Supplies
- Oshkosh, WI
- NPI 1326858044
-
dba SSM Health Davis Duehr Dean Eye Care - Portage
- Durable Medical Equipment & Medical Supplies
- Portage, WI
- NPI 1427085679
-
- Clinic/Center
- La Crosse, WI
- NPI 1043446974
-
dba Emplify Health Onalaska Clinic
- Clinic/Center
- Onalaska, WI
- NPI 1225372923
-
dba Emplify Health Onalaska Behavioral Health
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Onalaska, WI
- NPI 1871837567
-
dba Gundersen Moundview Hospital and Clinics
- Clinic Pharmacy
- Friendship, WI
- NPI 1669056693
-
dba Gundersen Moundview Hospital and Clinics, Inc.
- Rural Health Clinic/Center
- Westfield, WI
- NPI 1861829194
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Cudahy, WI
- NPI 1235355983
Hospital
-
- General Acute Care Hospital
- Milwaukee, WI
- NPI 1861447179
-
dba Aurora Medical Center Summit
- General Acute Care Hospital
- Summit, WI
- NPI 1699008029
-
dba Aurora West Allis Medical Center
- Clinic/Center
- West Allis, WI
- NPI 1235345695
Hospital
-
dba Aurora West Allis Medical Center
- General Acute Care Hospital
- West Allis, WI
- NPI 1407801640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1428451200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730851200000",
"number": "1083000863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 735044",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606735044",
"telephone_number": "800-326-2250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36500 AURORA DR",
"city": "SUMMIT",
"state": "WI",
"postal_code": "530664899",
"telephone_number": "262-434-1000"
}
],
"practiceLocations": [
{
"address_1": "1860 Shawano Ave",
"address_purpose": "LOCATION",
"city": "Green Bay",
"state": "WI",
"postal_code": "543032667",
"country_code": "US",
"telephone_number": "920-496-4700",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "707 14th St",
"address_purpose": "LOCATION",
"city": "Baraboo",
"state": "WI",
"postal_code": "539131539",
"country_code": "US",
"telephone_number": "608-356-1400",
"fax_number": "608-355-6810",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ANDREW",
"first_name": "BENJAMIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-08",
"last_updated": "2024-11-06",
"certification_date": "2024-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "WI",
"license": "66692-20",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bandrew371392@ewd.direct.hshs.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CDA/CCD/TXT",
"address_1": "1860 Shawano Ave",
"city": "Green Bay",
"state": "WI",
"country_code": "US",
"postal_code": "543032667",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bandrew291784@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "bandrew291784@direct-ehr-ssmhc.com",
"address_1": "707 14th St",
"city": "Baraboo",
"state": "WI",
"country_code": "US",
"postal_code": "539131539",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "707 14th St",
"city": "Baraboo",
"state": "WI",
"country_code": "US",
"postal_code": "539131539",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bandrew365845@direct.myadvocateaurora.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "36500 Aurora Dr",
"city": "Summit",
"state": "WI",
"country_code": "US",
"postal_code": "530664899",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "36500 Aurora Dr",
"city": "Summit",
"state": "WI",
"country_code": "US",
"postal_code": "530664899",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Summit, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.